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HomeMy WebLinkAboutBLD28029 SFR - BLD Permit / Conditions - 5/7/1991 Shorelines: PIumbing:t?! /-a 7/ f Setback: Mechanical Special Interior: Conditions: FINALi:�, Mobile Home: Smoke Detector Foot Remarks: Setback*'z Foundation Walls: Framing Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 28029 No. Floors 1 Sq Ftg 1568 Owner NFL SON. LYL.F Tel 275-2401 Date 5-7-91 Address E 17041 Hwy 106 Be]fair Zip Contractor Se Address Legal Description beards Cove div 8 lot 116 ip Direction to project site N. Shore Rd to Sand Hill o on C11flac P um ing _ x Mechanical Sewer Wo Stove Fireplace Deck �arage -�tport Basement Loft Other � BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED 9-5/ PERMIT NO. 09 60 OWNER NAM MAILADDRESS CITY&STATE ZIP PHONE A !?O'11/ Ikkv DIRECTIONS Or �(,s TO JOB SITE /vo/� Q' *//-C/. Atzs&x2 ra I-e 0 Xa��-6 cv-'- e G 101--63 PARCEL LEGAL NUMBER / ODIC D SCR. o�c- `!l to T# CONTRACTOR NAME MAIL ADDRESS CITY&STATE AA &?in m 2 ZIP PHONE e- � � S USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK �ew �✓ _ nn BEDROOMS_ DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT ,✓ �/ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR OTAL SQ.FT.1J FIREPLACE Al lA- DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT P� SHORELINE OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING D ARTMENT. XOWN /mr DATE ` XB DATE FOR OFFICE U E ONLY DEPARTMENT Y AS PROEDJO DEPARTMENT YES DEPARTMENT BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING Gtf�' PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE (y PLUMBING ,Zl� MECHANICAL ,m0 STATE BUILDING FEE STATE SURCHARGE I APPLICATION ACCEPTED BY PL�A�NSJCIH`ECK BY S,7 APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL AAA) BY Gf�� '� CASH CK MO 0 PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED ~�/ PERMIT NO. 67< OWNER NAME MAILADDRESS CITY&STAT ZIP ' PHONE tea` DIRECTIONS TO JOB SITE S P D )617041 LEGAL DESCR. NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR �� �� � ,P ��- _ USE OF c BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS L�/L— FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS 2' REFRIGERATION COMPRESSOR SYSTEM 6.00 r AUTO.WASHER — AIR HANDLING UNITS 7.50 SINKS �= HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISH WASHER DISPOSAL URINALS PF PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL rL TOTAL e� SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST fffJl 0 fCFROM THE BUILDING DEPAR ENT. WITHOUT FIRS BT ING PP OVAL FROM THE BUILDING pEPAR ENT. X OWNE DATE �� X B DATE l FOR OFFICE U E ONLY APPLICATION ACCEPTED BY TMT—c K BY 70t�- ILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION �6 a- BU PA) ` IBY S 7 CASH CK MO ------------- ii 16151 wrfi'i'a III Ytsl *LU 4.2 O"uMMARY "LFORT FILE .......... 1 M—TIF!CAT!GN juQL. .-cm .............................. 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